Download Nurs 316 Final Review Unit 6 Questions: Cardiovascular System and more Exams Nursing in PDF only on Docsity!
Nurs 316 Final Review Unit 6 Questions
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While studying the antihypertensive drugs the, nursing students learn about the pressure in the cardiovascular system is determined by three elements. What are they? Select all that apply. A) Heart rate B) Stroke volume C) Preload D) Total peripheral resistance E) Pulse pressure correct answer: A) Heart rate B) Stroke volume D) Total peripheral resistance The nurse is providing patient teaching to a patient who has been prescribed Digoxin. The patient tells the nurse that she occasionally uses herbals and other alternative therapies. What herb would the nurse warn the patient to avoid taking with the digoxin. Select one. A) black cohosh B) ginseng C) Saw palmetto D) Valerian correct answer: B) ginseng What assessment finding would indicate the patient's left-sided heart failure is worsening?
A) Increased pulse rate B) Increased crackles in lung fields C) Increased jugular venous pressure D) Liver enlargement correct answer: Increased crackles in lung fields A patient is being discharged on Cholestyramine (Questran). Patient teaching should include what about this medication? Select one. A) Should be administered with other medications B) Should be administered on an empty stomach C) Should be administered 1 hour before or 4 to 6 hours after other medications D) Should be administered one hour after other medications correct answer: Should be administered 1 hour before or 4 to 6 hours after other medications The nurse is taking a health history on a 38 year old man who is taking Atorvastatin (Lipitor) for high cholesterol. What will the nurse question specifically related to the safe use of this drug? Select one. A) Alcohol B) Caffine C) Herbal therapy D) Nicotine correct answer: Alcohol For which of the following types of shock might intravenous antibiotic therapy be indicated? Select one.
in your hands as fingers are going to spasm, which decreases blood flow and circulating oxygen." A client awaiting a heart transplant is experiencing decompensation of her left ventricle that will not respond to medications. The physician suggests placing the client on a ventricular assist device (VAD). The client asks what this equipment will do. The health care providers respond. Select one. correct answer: "This device will decrease the workload of the myocardium while maintaining cardiac output and systemic arterial pressure." Which of the following assessment be suggestive of cardiac tamponade select one A) A normal ECG combined with complaints of chest pain and shortness of breath B) Increasing PaCO2 and decreasing Pa C) A 20mm Hg drop in systolic blood pressure during respiration D) Audible crackles on the chest auscultation and presence of frothy sputum correct answer: A 20mm Hg drop in systolic blood pressure during respiration The nurse would anticipate that which of the following clients we considered a great candidate for coronary artery bypass grafting (CABG)? Select one. A) A 56-year-old with a history of MI experiencing new onset chest pain and ST elevation
B) A 24 year old auto accident client diagnosed with pericardial effusion and cardiac effusion and cardiac tamponade C) A 87 year old client admitted with uncontrolled dilated cardiomyopathy D) A 78 year old client admitted with increasing fatigue related to aortic stenosis correct answer: A 56-year-old with a history of MI experiencing new onset chest pain and ST elevation The nurse is preparing to teach the patient about diet therapy when beginning by sequestrant medication to lower lipid levels. What important teaching point will the nurse include in this teaching plan? Select one. A) Increasing carbohydrate intake B) Increasing fiber intake C) Reducing fluid intake D) Reducing protein intake correct answer: Increasing fiber intake Which of the following statements about vascular compliance is accurate? Select one. A) Arteries have thick muscular walls that constrict tightly, thereby ejecting blood without storing it for use later. B) A continuous flow through the capillaries occurs primarily during systole. C) Veins can act as a reservoir for storing large quantities of blood. D) Arteries are much more distensible than veins. correct answer: Veins can act as a reservoir for storing large quantities of blood.
A client with a diagnosis heart failure has returned from a visit with his primary care provider with a prescription for the change in his daily medication regimen. Which of the following drugs is likely to improve the client cardiac function by increasing the force and strength of ventricular contractions? Select one. A) An ACE inhibitor B) A cardiac glycoside C) A diuretic D) An adrenergic blocker correct answer: A cardiac glycoside Upon admission assessment, the nurse hears a murmur located at the fifth intercostal space, midclavicular line. The client asks, "What does that mean?" The nurse will base her answer on which of the following physiological principles? A) "You have a heart valve that is diseased." B) "Your heart has enlarged, so naturally your valves had to enlarge as well." C) "You have been exposed to infection that went into your bloodstream." D) "Your heart has been pumping your blood so hard, that pressure has damaged the valves." correct answer: "You have a heart valve that is diseased." A patient who has been taking cyclosporine to prevent rejection of a kidney transplant has had diltiazem ordered. Why would the nurse question this order? A) Serious diltiazem toxicity could occur.
B) The combination may result in elevated or even toxic cyclosporine levels. C) The combination could lead to kidney rejection. D) A kidney recipient would not effectively excrete the diltiazem. correct answer: The combination may result in elevated or even toxic cyclosporine levels. If the parasympathetic neurotransmitter releases acetylcholine, the nurse should anticipate observing the following changes in the ECG pattern? Select one. A. Heart rate 150 beats/minute, labeled as supraventricular tachycardia B. Slowing of heart rate to below 60 beats/minute C. Complete cardiac standstill D. Disorganized ventricular fibrillation correct answer: Slowing of heart rate to below 60 beats/minute What would the nurse teach the patient about potency of Nitroglycerin? Select all apply. A) Older tablets may require you use 2 tabs at a time B) "The tablet should fizzle or burn when placed under the tongue." C) "Protect the drug from heat and light." D) "Always replace when past the expiration date." E) "Nitroglycerin doesn't lose its potency easily." correct answer: B) "The tablet should fizzle or burn when placed under the tongue." C) "Protect the drug from heat and light." D) "Always replace when past the expiration date."
A client is receiving home care for the treatment of a wound on the inside of her lower leg that is 3 centimeters in diameter with a yellow wound bed and clear exudate. Assessment of the client's legs reveals edema and a darkened pigmentation over the ankles and shins of both legs what is the clients most likely diagnosis A) Chronic venous insufficiency B) Peripheral arterial disease C) Varicose veins D) Deep vein thrombosis correct answer: Chronic venous insufficiency
